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Individual

PATRICIA K. WALTHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
6015 POINTE WEST BLVD, BRADENTON, FL 34209-5532
(941) 792-1404
(941) 761-0712
Mailing address
6015 POINTE WEST BLVD, BRADENTON, FL 34209-5532
(941) 792-1404
(941) 761-0712

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9238902
FL
367500000X
Certified Registered Nurse Anesthetist
RN285593L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
307774800
FL
Enumeration date
10/12/2005
Last updated
02/29/2012
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